| NPI | 1063610376 |
|---|---|
| Former Name | REBECCA BLISS RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 04-41621) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX S7919) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CO DR.0063368) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 46886) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 10003376A) | |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2024-06-12 |